Autumn Court Operating Company, LLC

NPI #1295351682 in Ottawa, Ohio

Provider Information

NPI Number
1295351682
Entity Type
Organization
Organization Name
Autumn Court Operating Company, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jun 22, 2020
Last Updated
Dec 17, 2024

Practice Location

Address
1925 E 4TH ST
City
Ottawa
State
Ohio
ZIP Code
45875-1540
Phone
(419) 523-4370

Authorized Official

Name
MR. JEFFREY DEGYANSKY, LNHA
Title
VICE PRESIDENT OF OPERATIONS
Phone
(330) 620-7828

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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